ActivCare 4S Ranch

    10603 Rancho Bernardo Rd, San Diego, CA 92127
    • Assisted Living
    • Memory Care

    Bright facility, attentive dementia care

    I placed my loved one at ActivCare @ 4S Ranch and have been very pleased. The bright, single-story facility is beautiful and clean with private suites/en-suite baths, large activity spaces and outdoor patios; staff are caring, well-trained and communicative (great caregiver-to-patient ratio, nurse available), offer varied daily activities and strong dementia expertise - I would recommend it for families seeking attentive memory care.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    5.00·(15)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      5.0
    • Meals

      4.5
    • Amenities

      4.5
    • Value

      4.0

    Pros

    • Specialized memory-care program
    • Excellent caregiver-to-patient ratio
    • Well-trained and loving staff
    • Nurse available anytime / full-time nursing coverage
    • Wide variety of daily activities and social engagement
    • Large main activity room and spacious public areas
    • Outdoor patio areas
    • Secure exits and clear evacuation routes
    • Single-story building layout
    • New, clean, and attractive facility
    • Private suites with en-suite bathrooms
    • Healthy, nutritious meals
    • Staff knowledgeable in dementia care
    • Highly communicative, attentive, and compassionate staff
    • Responsive and effective administration/management
    • Strong COVID protocols and proven performance during pandemic
    • High overall ratings and frequent recommendations

    Cons

    • Expensive / pricey
    • Location/distance may be inconvenient for some families

    Summary of reviews

    Overall sentiment across the reviews is strongly positive: ActivCare @ 4S Ranch is repeatedly described as an excellent, well-run memory-care community with outstanding staff and services. Reviewers emphasize that the facility specializes in memory care and that the caregiver-to-patient ratio is excellent, which reviewers connect directly to personalized, attentive care. Multiple accounts highlight full-time nursing availability and staff who are both well-trained in dementia care and emotionally engaged—often described as loving, compassionate, and willing to go above and beyond. Communication from staff is repeatedly called out as clear and responsive, and many reviewers explicitly recommend the community for long-term stays and for loved ones with dementia.

    Facility and safety features are a consistent strength in the reviews. Respondents note that the building is new, clean, bright, and attractive; the single-story layout, secure exits, and clear evacuation routes are mentioned as important practical advantages for a memory-care setting. Private suites with their own bathrooms, large public areas, a roomy main activity room, and outdoor patio areas are all cited as features that enhance resident comfort and provide ample space for socializing and activities. Several reviewers also commented on specific design positives such as great room layouts and plenty of room for programs and gatherings.

    Activity programming and social engagement receive frequent praise. Reviews report a wide variety of daily activities—exercise, social events, makeup and nails sessions, and other varied offerings—that keep residents engaged. The combination of a large activity room and plentiful programming appears to support strong social engagement among residents. Reviewers who were concerned about dementia-related needs specifically appreciated that staff listened to questions, answered concerns knowledgeably, and tailored interactions to residents’ needs.

    Dining, cleanliness, and pandemic response are additional strengths. Meals are described as healthy and nutritious, and the facility is consistently called very clean and well-maintained. Multiple reviewers specifically praised ActivCare’s handling of COVID, noting strong protocols and that the community performed well during the pandemic—another sign of effective operational management. Administrators and managers earned praise as well, with several reviewers calling out a terrific administrator and manager and describing staff as supportive and helpful.

    Notable drawbacks are limited but consistent: cost and location. Several reviewers described the community as expensive or pricey, though at least one comment framed it as good value given the high staffing levels and quality of care. A separate comment mentioned distance as a problem, indicating that location may be inconvenient for some families. No significant operational or care-quality complaints appear in the summaries provided; virtually all other comments are positive or strongly recommend the community.

    In sum, the review pattern portrays ActivCare @ 4S Ranch as a high-quality, specialized memory-care community with excellent staffing, strong clinical oversight, a welcoming physical environment, robust programming, and effective leadership. The primary trade-offs noted by reviewers are higher cost and potential travel distance for some families; otherwise, reviewers overwhelmingly endorse the facility for dementia care and long-term placement.

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    Location

    Map showing location of ActivCare 4S Ranch

    ActivCare 4S Ranch is located at 10603 Rancho Bernardo Rd, San Diego, CA, 92127.

    About ActivCare 4S Ranch

    ActivCare 4S Ranch is a senior living community in San Diego made for adults with Alzheimer's disease or other dementias, and the place was designed from the ground up to provide memory care at every stage of memory loss, starting with early changes and going on through to advanced needs, so folks can move in at different points in their journey and get help that matches where they're at, and there's a special section called The Ranch Club for people in the early stages of memory loss or Mild Cognitive Impairment. The facility opened in June 2016, holds a license (license number 374603714), accepts up to 60 residents, and offers both private and semi-private rooms so folks have some choice about where they live, and they've got nursing staff there all day and night, 7 days a week. The building has indoor areas like a great room for activities and socializing, dining rooms big enough for family to visit, and a secure Memory Care environment with its own entrance, plus outdoor courtyards, walking paths, manicured gardens, and patio spaces for getting some air and maybe tending a few plants during ActivFit or gardening classes-so there's plenty to do and a lot to see, if you like being out or just sitting somewhere peaceful. They serve meals, including vegetarian options if you need them, and there's nursing care on-site for managing things like insulin and ostomy care, so folks with medical needs aren't left out. Residents join in daily activities-some take place in the building, others outside in the community-and there's devotional services, a beautician in-house, volunteer programs through something called ActivCorps, regular email and text updates sent out, and specialized services like assisted living, skilled nursing, and independent living all in the same place, so people's care can change as their needs do. ActivCare 4S Ranch also supports people who use the San Diego Regional Center, provides SSI beds, and is part of a bigger network called ActivCare Living with other locations in places like Laguna Hills, Bressi Ranch, Mission Bay, Rolling Hills Ranch, and Yorba Linda. The staff is trained for memory care, and there's a good ratio of caregivers to residents, with a setup meant to keep people secure and engaged-even things like a main activity room, great indoor spots for relaxing or visiting, and lots of opportunities for socializing or keeping a routine. Folks can bring their own care needs, since they offer everything from assisted living to nursing home services, and the program brings in resources for setting up care plans and keeping track as needs change. The focus is always on dementia care, making sure residents get a mix of safety, tailored services, and activities to help maintain their quality of life in a quiet, comfortable, and really home-like setting.

    People often ask...

    ActivCare 4S Ranch offers competitive pricing, with rates starting at a cost of $5,150 per month.

    ActivCare 4S Ranch offers assisted living and memory care.

    There are 22 photos of ActivCare 4S Ranch on Mirador.

    The full address for this community is 10603 Rancho Bernardo Rd, San Diego, CA 92127.

    No, ActivCare 4S Ranch does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.

    License number374603714
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity60 residents
    LicenseeRAC DOVE CNYN,INCOME PROPERTY GRP;ACTIVCARE LIVING
    EffectiveJune 16th, 2016
    View the official license record

    Inspection Reports

    15

    Reports

    0

    Type A Citations

    1

    Type B Citations

    2

    Complaints

    7

    Years

    16 Jun 2026Inspection
    Found no deficiencies. The setting showed adequate safety, care, and activity engagement, with maintenance underway.
    22 Dec 2025Inspection
    Observed no health or safety concerns or deficiencies during the visit.
    07 May 2025Inspection
    Observed clean, sanitary conditions with functioning systems and adequate supplies; no deficiencies were found.
    21 Nov 2024Complaint
    Investigated an allegation that staff left a resident on the floor after a fall; interviews and records indicated the resident chose to crawl to the restroom and there were no injuries.
    26 Jun 2024Inspection
    Observed no deficiencies during an unannounced annual visit.
    16 Oct 2023Inspection
    Observed secure perimeters, proper medication handling, adequate staff on duty, and clean, well-maintained resident areas.
    06 Sept 2023Inspection
    Conducted an unannounced case management visit; signatures were collected and an amended report was delivered.
    18 Jan 2023Inspection
    Identified an incident involving a resident fall resulting in hospitalization and death. No health and safety concerns or deficiencies were identified during the visit.
    06 Jan 2023Inspection
    Identified an AWOL incident where a resident left unobserved and was returned by law enforcement, and noted that there was an inadequate number of direct care staff to support residents with dementia.
    • Type B87705(c)(4)
    16 Jun 2022Inspection
    Observed proper infection control measures were in place with no deficiencies identified.
    14 Dec 2021Inspection
    Investigated an unusual incident involving a resident's death. Further investigation was required.
    29 Jun 2021Inspection
    Observed infection control measures in place and no deficiencies were cited.
    08 Oct 2020Inspection
    Found that a resident sustained a right hip fracture from a witnessed fall on 08/16/20 and that the incident was self-reported on 08/24/20. Conducted a telephone interview with the administrator, requested records, and no deficiencies were issued.
    24 Jun 2020Inspection
    Confirmed removal of individual with non-exemptible conviction following unannounced visit.
    26 Nov 2019Complaint
    Confirmed that the allegation of neglect leading to a resident's death was unsubstantiated.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of ActivCare 4S Ranch. The information above has not been verified or approved by the owner or operator. For exact information, please contact ActivCare 4S Ranch directly. There is no cost for this service. We are compensated by the community you select.

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